Comparison of Apical Extrusion of Debris by Using Single-File, Full-Sequence Rotary and Reciprocating Systems

  • Maryam Ehsani Associate Professor, Department of Endodontics, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran; Dental Materials Research Center, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran
  • Robab Farhang ORCID Mail Assistant Professor, Department of Endodontics, Faculty of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran
  • Azadeh Harandi Assistant Professor, Dental Materials Research Center, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran; Department of Endodontics, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran
  • Saeid Tavanafar Postgraduate Student, Department of Oral and Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
  • Maryam Raoof Associate Professor, Department of Endodontics, Faculty of Dentistry, Endodontolgy Research Center, Kerman University of Medical Sciences, Kerman, Iran; Laboratory of Molecular Neuroscience, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
  • Saeedeh Galledar Assistant Professor, Department of Endodontics, Faculty of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran
Keywords:
Dentistry, Endodontics, Root Canal Preparation, Instrumentation

Abstract

Objectives: During root canal preparation, apical extrusion of debris can cause inflammation, flare-ups, and delayed healing. Therefore, instrumentation techniques that cause the least extrusion of debris are desirable. This study aimed to compare apical extrusion of debris by five single-file, full-sequence rotary and reciprocating systems.
Materials and Methods: One hundred twenty human mandibular premolars with similar root lengths, apical diameters, and canal curvatures were selected and randomly assigned to six groups (n=20): Reciproc R25 (25, 0.08), WaveOne Primary (25, 0.08), OneShape (25, 0.06), F360 (25, 0.04), Neoniti A1 (25, 0.08), and ProTaper Universal. Instrumentation of the root canals was performed in accordance with the manufacturers’ instructions. Each tooth's debris was collected in a pre-weighed vial. After drying the debris in an incubator, the mass was measured three times consecutively; the mean was then calculated. The preparation time by each system was also measured. For data analysis, one-way ANOVA and Games-Howell post hoc test were used.
Results: The mean masses (±standard deviation) of the apical debris were as follows: 2.071±1.38mg (ProTaper Universal), 1.702±1.306mg (Neoniti A1), 1.295±0.839mg (OneShape), 1.109±0.676mg (WaveOne), 0.976±0.478mg (Reciproc) and 0.797±0.531mg (F360). Compared to ProTaper Universal, F360 generated significantly less debris (P=0.02). The ProTaper system required the longest preparation time (mean=88.6 seconds); the Reciproc (P=0.008), OneShape (P=0.006), and F360 (P=0.001) required significantly less time (P<0.05).
Conclusions: All instruments caused extrusion of debris through the apex. The F360 produced significantly less debris than did the ProTaper Universal.

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Published
2017-01-11
How to Cite
1.
Ehsani M, Farhang R, Harandi A, Tavanafar S, Raoof M, Galledar S. Comparison of Apical Extrusion of Debris by Using Single-File, Full-Sequence Rotary and Reciprocating Systems. Front Dent. 13(6):394-399.
Section
Original Article